Rejuvenation of the facial area, e.g., face, neck, jowls, and the like, that combines a plurality of different modalities is disclosed. A rejuvenation method can combine such modalities as skin tightening, in which electromagnetic energy, such as radio-frequency energy, visible light, and the like, or ultrasonic energy can be applied to the skin to tighten it tissue tightening, in which sutures can be put in repositioned, tightened tissue underlying the skin to hold the tissue in place tissue reinforcement, in which other sutures can be put around the tissue tightening sutures to reinforce their hold on the underlying tissue and skin resection, in which excess skin can be excised and the remaining skin anchored over the tightened underlying tissue to produce a rejuvenating effect.
